| NPI | 1003323189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 28978) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 05632) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2022-04-08 |