| NPI | 1952532624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27002) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY27002) |
| 225C00000X Rehabilitation Counselor (Licence: CA RPS2012431) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2023-06-27 |