| NPI | 1073760047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28170) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 5238) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2016-06-07 |