| NPI | 1962641126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 26903) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 26903) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA 26903) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2024-11-21 |