| NPI | 1386822286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA PSY26890) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: GA PSY003054) |
| 103TC0700X Psychologist Clinical (Licence: CA PSY26890) | |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2015-06-04 |