| NPI | 1518166651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 13117) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 13117) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2018-06-01 |