| NPI | 1164798898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY24929) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019303) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2015-09-14 |