| NPI | 1790984078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY25324) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2013-08-04 |