| NPI | 1528279130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 001049) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY14590) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-08-22 |