| NPI | 1982937892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26730) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301019003) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2024-09-23 |