| NPI | 1710045935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY23400) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY23400) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-04-29 |