| NPI | 1508972753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY21015) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-05-04 |