| NPI | 1669672978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06191) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 25670) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2019-07-22 |