| NPI | 1144606088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004598) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY31750) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY004598) | |
| 103T00000X Psychologist (Licence: CA PSY31750) | |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY004598) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY31750) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2026-04-15 |