| NPI | 1679725360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY23938) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY23938) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY23938) | |
| 103TH0004X Psychologist Health (Licence: CA PSY23938) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2012-09-18 |