| NPI | 1255577110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 01379301) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY17360) |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2025-04-07 |