| NPI | 1972156412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA MFC114092) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA MFC114092) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |