| NPI | 1396178448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY31606) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY31606) |
| 103TC0700X Psychologist, Clinical (Licence: MA 10922) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2024-04-28 |