| NPI | 1881330090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist Health (Licence: CA 33259) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 33259) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA 33259) | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |