| NPI | 1568536613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY12968) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 1705) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-04-19 |