| NPI | 1306085493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY25456) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017003-1) |
| 103TC0700X Psychologist, Clinical (Licence: NY 017003-1) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 017003-1) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY25456) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY25456) | |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2015-06-15 |