| NPI | 1669503041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34320) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA 001230) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2024-08-19 |