| NPI | 1073671228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY15916) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: CA PSY15916) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-09 |