| NPI | 1801028949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2012041100) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 24372) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2014-01-06 |