| NPI | 1629706726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 31818) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 3502) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-26 |