| NPI | 1255567335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY13288) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA PSY13288) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |