| NPI | 1760832760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 004018) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY33228) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2022-06-16 |