| NPI | 1942890660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 29848) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 29848) |
| 103TC1900X Psychologist Counseling (Licence: CA 29848) | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2024-07-18 |