| NPI | 1114334703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 26889) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VA 0810005035) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2015-05-05 |