| NPI | 1710016456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY#15986) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY15986) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2024-01-23 |