| NPI | 1336450329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 11879) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY11879) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA sp 346) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2015-09-14 |