| NPI | 1750411997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 2201) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY19864) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-05-10 |