| NPI | 1780885426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28876) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY6881) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2022-07-21 |