| NPI | 1932649563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 30988) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 37597) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2022-01-03 |