| NPI | 1902378458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY30267) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA PSY30267) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA PSY30267) | |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2022-02-22 |