| NPI | 1689770943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA MFC33065) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL MH2152) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |