| NPI | 1700085206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: CA PSY 17593) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 715392) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2009-09-14 |