| NPI | 1487148854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022244) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY29980) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2023-02-01 |