| NPI | 1609927466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY31514) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 3539922501) |
| 103T00000X Psychologist (Licence: UT 353992-2501) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-12-27 |