| NPI | 1275659294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY24464) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY24464) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2021-06-08 |