| NPI | 1699801134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY9785) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: CA PSY9785) |
| 103T00000X Psychologist (Licence: CA PSY9785) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-09 |