| NPI | 1912334426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29196) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 2652) |
| Enumeration Date | 2013-09-28 |
| Last Update Date | 2025-03-29 |