| NPI | 1114059664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY13820) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY13820) |
| 103TF0200X Psychologist Forensic (Licence: CA PSY13820) | |
| 103TP0814X Psychologist Psychoanalysis (Licence: CA PSY13820) | |
| 103T00000X Psychologist (Licence: CA PSY13820) | |
| 103TR0400X Psychologist Rehabilitation (Licence: CA PSY13820) | |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2007-07-14 |