| NPI | 1902226632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28654) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 28654) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2024-03-14 |