| NPI | 1033246137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 21489) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MN LP4542) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2009-10-13 |