| NPI | 1871260968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33551) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSB94026114) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2024-08-08 |