| NPI | 1245489640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: CA 31580) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 31580) |
| 103TC0700X Psychologist, Clinical (Licence: CA 31580) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CA 31580) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2024-02-06 |