| NPI | 1770635807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy 17361) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 6182) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |