| NPI | 1144486424 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27830) | 
| Additional Taxonomies | 225400000X Rehabilitation Practitioner | 
| Enumeration Date | 2008-08-05 | 
| Last Update Date | 2020-11-25 |