| NPI | 1639433477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY30820) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2024-04-15 |