| NPI | 1619163318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9006) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA RPS 2012019) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2015-02-18 |