| NPI | 1992512156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY35209) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY35209) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY35209) | |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |