| NPI | 1295982254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25497) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019719) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2013-10-25 |