| NPI | 1154458669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 18898) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy18898) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-02-02 |