| NPI | 1952812752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 17115) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 5430) |
| 103TC0700X Psychologist, Clinical (Licence: CA 17115) | |
| 103TC0700X Psychologist, Clinical (Licence: SC 1528) | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2023-10-26 |