| NPI | 1326493842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY27704) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA PSY27704) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2024-07-23 |