| NPI | 1902017106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24309) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT10647) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2020-10-05 |