| NPI | 1508967142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY19649) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NM 0920) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-08-10 |