| NPI | 1952650038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26841) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 225C00000X Rehabilitation Counselor (Licence: CA 2012308) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2023-11-09 |