| NPI | 1063781359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY10225) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy10225) |
| 103T00000X Psychologist (Licence: MS 20-250) | |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2018-10-09 |