| NPI | 1972774859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 26843) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 97284) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2022-10-11 |