| NPI | 1942342274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 24824) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 3949) |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2023-03-03 |