| NPI | 1336328269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25494) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003762) |
| Enumeration Date | 2007-10-28 |
| Last Update Date | 2013-05-07 |