| NPI | 1265598247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 33084) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0006478) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2024-08-18 |