| NPI | 1467494922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2542) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY20642) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-03-07 |