| NPI | 1346488459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5123) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY26146) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2018-07-09 |