| NPI | 1164858866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25502) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY25502) |
| 103T00000X Psychologist (Licence: CA PSY25502) | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2024-04-29 |