| NPI | 1285698506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28538) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 8856) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2019-05-01 |