| NPI | 1972521946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2591-57) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy19404) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-04-08 |