| NPI | 1588906390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA CFE38754) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: CA CFE38754) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |