| NPI | 1124183561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy17320) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY17320) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-07-01 |