| NPI | 1235220062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 21013) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 016870) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-06-24 |