| NPI | 1972138071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34926) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2020036385) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2025-03-11 |