| NPI | 1548693732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29379) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024088) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2023-02-03 |