| NPI | 1063158848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY14900) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TH0100X Psychologist, Health Service (Licence: CA PSY14900) | |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-05-05 |