| NPI | 1336520550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: CA 33541) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 3264) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-05-23 |