| NPI | 1336489988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25851) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019648-1) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-08-13 |