| NPI | 1356189013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 34311) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 023856) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |