| NPI | 1457684938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25272) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004381) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2024-07-31 |