| NPI | 1518152164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY24842) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 9304) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2012-09-27 |