| NPI | 1952416190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA PSY1662) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY16629) |
| 103TC0700X Psychologist Clinical (Licence: CA PSY16629) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-01-14 |