| NPI | 1578896429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY28271) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: CA PSY28271) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2024-04-11 |