| NPI | 1013485390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31405) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 020980) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2024-04-27 |