| NPI | 1518970227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY22723) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: HI PSY -953) |
| 103TC0700X Psychologist Clinical (Licence: NY 016612-1) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2015-02-09 |