| NPI | 1861844102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33894) |
| Additional Taxonomies | 247000000X Technician, Health Information |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2023-05-16 |