| NPI | 1497207211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022683) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY12673) |
| 103TC0700X Psychologist, Clinical (Licence: CT 003655) | |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2025-03-08 |