| NPI | 1386152189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33908) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004344) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2024-10-01 |