| NPI | 1275957094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26110) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 020281) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2022-09-19 |