| NPI | 1982063020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA 30329) |
| Additional Taxonomies | 103TH0004X Psychologist Health |
| 103T00000X Psychologist (Licence: CA 30329) | |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2024-08-16 |