| NPI | 1114351418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32778) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY32778) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2024-03-19 |