| NPI | 1033325006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23661) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: OR 1761) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-05-18 |