| NPI | 1770706954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3145) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY15377) |
| 103TC0700X Psychologist, Clinical (Licence: OR 3145) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-07-11 |