| NPI | 1174791552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY22433) |
| Additional Taxonomies | 103TR0400X Psychologist Rehabilitation |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2018-11-19 |