| NPI | 1790080299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: CA P4596385) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2015-03-03 |