| NPI | 1548542962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY30521) |
| Additional Taxonomies | 103T00000X Psychologist |
| 225400000X Rehabilitation Practitioner | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2024-02-23 |