| NPI | 1891673752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35880) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY35880) |
| 103TH0004X Psychologist, Health (Licence: CA PSY35880) | |
| 103TH0100X Psychologist, Health Service (Licence: CA PSY35880) | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |