| NPI | 1417318569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29566) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 103T00000X) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2024-08-29 |