| NPI | 1235653262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 0005466) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 31338) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2021-04-01 |