| NPI | 1811267115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY24958) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP5268) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-05-01 |