| NPI | 1881123024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 31558) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2023-09-13 |