| NPI | 1861531782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY802) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY6910) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |