| NPI | 1962624841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21494) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA RPS2007030) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-10-06 |