| NPI | 1851737175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 19479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 271628) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2015-12-01 |