| NPI | 1114958154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY16730) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY16730) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-07-18 |