| NPI | 1487946067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 26405) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PBS37223) |
| 103TC0700X Psychologist, Clinical (Licence: CA RPS2012151) | |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2014-06-24 |