| NPI | 1922555184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28941) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005509) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2022-05-24 |