| NPI | 1275812257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26362) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA RPS2012090) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2014-05-03 |