| NPI | 1043411028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 21869) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA RPS2006128) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-01-03 |