| NPI | 1396154316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0004668) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 28808) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2018-01-15 |