| NPI | 1770955908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY28013) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IA 001230) |
| 103TC1900X Psychologist Counseling (Licence: IA 001230) | |
| 103TE1100X Psychologist Exercise & Sports (Licence: IA 001230) | |
| 103TH0100X Psychologist Health Service (Licence: IA 077200) | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2023-04-19 |