| NPI | 1295038412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017550) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY23972) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2021-03-09 |