| NPI | 1093049496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 27643) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6587) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2015-09-30 |