| NPI | 1942461777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28214) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: LA 1078) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2023-11-02 |