| NPI | 1861869489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31949) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86029010) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2020-08-05 |