| NPI | 1588934897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24014) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 24014) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2024-10-23 |