| NPI | 1679673271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY17204) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA psy17204) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2025-06-03 |