| NPI | 1871757278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 22057) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL TPPY1062) |
| 103TC0700X Psychologist, Clinical (Licence: MS 54965) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2022-12-29 |