| NPI | 1992967996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24793) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY24793) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY24793) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-01-28 |