| NPI | 1063550424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 21623) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA RPS2006095) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-02-26 |