| NPI | 1083637276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSYCH15399) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSYCH1671) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-03-11 |