| NPI | 1154780161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 27902) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA 27902) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2019-06-28 |