| NPI | 1578670766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY17358) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: CA PSY17358) |
| 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY17358) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2015-05-01 |