| NPI | 1801932900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810005581) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY18658) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-06-21 |