| NPI | 1275699258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29029) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021464) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-01-14 |