| NPI | 1851689566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY24289) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 24289) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2023-04-13 |