| NPI | 1275733909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY22072) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY22072) |
| 103T00000X Psychologist (Licence: NY 016941) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 016941) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY22072) | |
| 103TC0700X Psychologist Clinical (Licence: NY 016941) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 016941) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY22072) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NY 016941) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY22072) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2024-08-02 |