| NPI | 1144705369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY30328) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: CA PSY30328) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2020-01-30 |