| NPI | 1750636023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY30652) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY30652) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2024-08-09 |