| NPI | 1093492266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY36502) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 024056) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2026-03-18 |