| NPI | 1306154968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY28166) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP6490) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSB 35417) | |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2020-02-06 |