| NPI | 1659427201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC 1001624) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF46282) |
| 103T00000X Psychologist (Licence: CA 23210) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-09-14 |