| NPI | 1871631572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28349) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS015071) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2019-02-21 |