| NPI | 1790369858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 32532) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 35235) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-06 |