| NPI | 1467470377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25279) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 3964) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-01-26 |