| NPI | 1255771309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY31355) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS018714) |
| 103TC0700X Psychologist, Clinical (Licence: NY 023344) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2021-06-18 |