| NPI | 1831131945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY 202366) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA Psy 16908) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-01-21 |