| NPI | 1790034726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CA RPS2012631) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2017-03-16 |