| NPI | 1649371634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY14541) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 14541) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-12-29 |