| NPI | 1174711576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 24645) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 24645) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2016-02-16 |