| NPI | 1689796245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY4652) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY4652) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |