| NPI | 1568595544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY11463) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 020945-01) |
| 103T00000X Psychologist (Licence: MI 6301018613) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY11463) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-09-09 |