| NPI | 1861637589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA Psy24388) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 102803 provisional) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2025-01-15 |