| NPI | 1710143086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY30310) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810001729) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2022-07-22 |