| NPI | 1023507084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: CA 29275) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 29275) |
| Enumeration Date | 2018-05-05 |
| Last Update Date | 2018-07-02 |