| NPI | 1376535955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY5785) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY5785) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-03-11 |