| NPI | 1912377953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27635) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY27635) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY27635) | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2022-11-15 |