| NPI | 1629625793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA PSY31654) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY31654) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-04-10 |