| NPI | 1255531034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 25735) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60411233) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2022-01-03 |