| NPI | 1285910802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 24482) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY24482) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2017-01-31 |