| NPI | 1962439372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA PSY25495) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 1697) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-04-09 |