| NPI | 1235112707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3007) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY18630) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2022-03-29 |