| NPI | 1083830780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY14743) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 015598-1) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-09 |