| NPI | 1336524057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6456) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 33903) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2024-11-11 |