| NPI | 1366512477 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY23831)  | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA RPS2009129)  | 
| 103T00000X Psychologist (Licence: DC 1000985)  | |
| Enumeration Date | 2006-11-08 | 
| Last Update Date | 2023-05-11 |