| NPI | 1508981846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY27862) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY27862) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY27862) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-10-18 |