| NPI | 1730800970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY30809) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 3078) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |