| NPI | 1053410878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY15243) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 15243) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-04-04 |