| NPI | 1982829271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ID PSY-202055) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 18129) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2016-06-28 |