| NPI | 1699043604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 24507) |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2012-01-20 |