| NPI | 1629092127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 14015) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 7151) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |