| NPI | 1700850278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy13838) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA 319821) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-11-09 |