| NPI | 1962641126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 26903) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 26903) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2024-11-13 |