| NPI | 1376827501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26493) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 26493) |
| 103T00000X Psychologist (Licence: CA PSY26493) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2024-04-27 |