| NPI | 1700441847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 94028105) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 94028105) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2026-02-05 |