| NPI | 1457488603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 004800) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 2409) |
| 103T00000X Psychologist (Licence: CA PSY24764) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-09-10 |