| NPI | 1942457619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3528) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 22146) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2019-01-24 |