| NPI | 1194911024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 22880) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 68 016897) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2018-04-27 |