| NPI | 1649497637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY26656) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY 26656) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-09-24 |