| NPI | 1003164260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25085) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: CA 25085) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 25085) | |
| 103T00000X Psychologist (Licence: CA PSY25085) | |
| 103TH0004X Psychologist, Health (Licence: CA 25085) | |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2024-04-26 |