| NPI | 1790114411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0004095) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 24591) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2014-09-23 |