| NPI | 1114163474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY21979) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 21979) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2024-05-01 |