| NPI | 1174355705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 21688) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA 21688) |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |