| NPI | 1255424982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17536) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: CA 17536) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-02-27 |