| NPI | 1578188694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025254) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 34048) |
| 103TC0700X Psychologist, Clinical (Licence: NY 025254) | |
| 103TC0700X Psychologist, Clinical (Licence: CA 34048) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2024-04-02 |