| NPI | 1609953314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY25586) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 019859) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-02-19 |