| NPI | 1588813380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 2712) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 27379) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2016-10-20 |