| NPI | 1972907715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: MA PR11831) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CA PSY26696) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2024-07-12 |