| NPI | 1669015855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY31106) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ PSY005180) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-12-10 |