| NPI | 1508114190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY25175) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY25175) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |