| NPI | 1285832642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019229-01) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA psy15436) |
| 103TC0700X Psychologist, Clinical (Licence: CA 32775) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2022-03-03 |