| NPI | 1285863217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4256) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 25637) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2020-05-07 |