| NPI | 1225090616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 28316) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 016053-1) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2021-12-06 |