| NPI | 1063982775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019545) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY30417) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2023-11-28 |