| NPI | 1154379758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 8571) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY12230) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-07-09 |