| NPI | 1952429342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 21049) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 256531) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2013-08-05 |