| NPI | 1700994498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY04395) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY4395) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-07-10 |