| NPI | 1124351804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY22419) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY22419) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2021-11-30 |