| NPI | 1306989348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy21800) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 2006208) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2023-09-14 |