| NPI | 1376979328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31230) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY31230) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY31230) | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2019-12-27 |