| NPI | 1205056686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3443) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 26152) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2022-10-31 |