| NPI | 1548912942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY33145) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 025715) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2024-02-08 |