| NPI | 1134519358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY27938) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 27938) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2024-04-27 |