| NPI | 1497977110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY19426) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA PSY19426) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-10-27 |