| NPI | 1487810727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY12226) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WA PY00002941) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2010-11-23 |