| NPI | 1851543946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018168) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 21970) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2020-08-25 |