| NPI | 1467848226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27035) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 27035) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA PSY27035) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2026-08-25 |