| NPI | 1831199892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 175712) |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 175712) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-07-08 |