| NPI | 1003047739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY34185) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH P08567) |
| 103T00000X Psychologist (Licence: NY 025491) | |
| 103TC0700X Psychologist, Clinical (Licence: PA PS016465) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2024-11-13 |