| NPI | 1326359803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 27196) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021128) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2015-06-12 |