| NPI | 1043075674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TE1100X Psychologist, Exercise & Sports (Licence: CA psy12925) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA psy12925) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |