| NPI | 1609910876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 22788) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSB 22788) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY 22788) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2022-07-29 |