| NPI | 1558708834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29982) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB94022808) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2019-02-24 |