| NPI | 1063881415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 2012968) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA D4003366) | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2020-02-03 |