| NPI | 1790063410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27070) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: CA 27070) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2024-08-08 |