| NPI | 1174551303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY27352) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 630102730) |
| 103T00000X Psychologist (Licence: MI 6301014686) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-09-07 |