| NPI | 1487353140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IA 117858) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY34224) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2024-08-24 |