| NPI | 1871956953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: unlicensed) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA unlicensed) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2024-12-15 |