| NPI | 1336458124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 286500000X Military Hospital (Licence: CA PSY23619) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY23619) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2024-01-26 |