| NPI | 1912095670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 22739) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3143) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-03-14 |