| NPI | 1407538192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34408) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 025930) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2025-08-14 |