| NPI | 1619488681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY33478) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY33478) |
| 103TC0700X Psychologist, Clinical (Licence: OH P.07968) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY33478) | |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2024-04-29 |