| NPI | 1588912851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY26896) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA E3294041) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2020-08-17 |