| NPI | 1417076605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31953) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 003011) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-01-13 |