| NPI | 1851596498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 965999) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA 965999) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2022-12-22 |