| NPI | 1053580308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 24048) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ID PSY-202418) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2023-08-29 |