| NPI | 1962254391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34923) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA 34923) |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: CA 34923) | |
| 103T00000X Psychologist (Licence: CA 34923) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA 34923) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 34923) | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-05-16 |