| NPI | 1932411097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY25209) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY25209) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2024-09-11 |