| NPI | 1760737241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY25566) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY8520) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2021-04-02 |