| NPI | 1811440142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 34548) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSB94026603) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2023-10-10 |