| NPI | 1972939866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 31688) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WA 61055150) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2023-06-29 |