| NPI | 1700209558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 086771) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 27277) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2023-12-29 |