| NPI | 1225221849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25146) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2139) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2015-03-05 |