| NPI | 1225232697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26472) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 2705) |
| 103TC0700X Psychologist, Clinical (Licence: NY 9329) | |
| 103TC0700X Psychologist, Clinical (Licence: FL 8643) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2019-09-12 |