| NPI | 1700935871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: CA PSY18683) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY18683) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-11-15 |