| NPI | 1750691168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY18427) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA PSY 18427) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2025-07-21 |