| NPI | 1245373885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20024) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04804) |
| 103TC0700X Psychologist, Clinical (Licence: NY 026969) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2026-01-20 |