| NPI | 1992966154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28123) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA 28123) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2016-07-18 |