| NPI | 1427218627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26741) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9557) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2017-02-02 |