| NPI | 1467172320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025700) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY26349) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2023-05-22 |