| NPI | 1750366746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY29846) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP4399) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2023-11-20 |