| NPI | 1750337630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS1161) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY17847) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-04-19 |