| NPI | 1033589239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 3137) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: CA 3137) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |