| NPI | 1629320338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29502) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: CA PSY29502) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2018-04-10 |