| NPI | 1881378057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39340) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY36557) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2026-07-15 |