| NPI | 1053518704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22871) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY22871) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY22871) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2023-07-26 |