| NPI | 1134244718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 22761) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical (Licence: CA 22761) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2025-07-09 |