| NPI | 1720559248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ID PSY-203097) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY-14596) |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |