| NPI | 1265840755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 28757) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021187) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2026-04-08 |