| NPI | 1003104431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY 4438) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 021384-1) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2016-10-07 |