| NPI | 1043522279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24787) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 24787) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2015-01-23 |