| NPI | 1265694756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 24016) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810000256) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2024-02-09 |