| NPI | 1598951311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy28772) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019781) |
| Enumeration Date | 2007-09-16 |
| Last Update Date | 2021-02-25 |