| NPI | 1235485400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY25959) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60259924) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2013-09-27 |