| NPI | 1427107226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY8887) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 0128141) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |