| NPI | 1003913732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 6817) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 4398) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2017-05-06 |