| NPI | 1215376603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32452) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 025731) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2023-06-12 |