| NPI | 1518982602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY17376) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY17376) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-07-10 |