| NPI | 1023079266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY18970) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY18970) |
| 103TC0700X Psychologist, Clinical (Licence: CA 18970) | |
| 103T00000X Psychologist (Licence: MA 8560) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-07-02 |