| NPI | 1538385406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy17025) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: CA psy17025) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2024-12-04 |