| NPI | 1114368792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: CA PSY20304) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY20304) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2018-01-18 |