| NPI | 1518003250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 18285) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY4330) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-05-22 |