| NPI | 1972941508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29112) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2021-03-04 |