| NPI | 1841957859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32963) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA 32963) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-12-09 |