| NPI | 1043228042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY7741) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY7741) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-09-18 |