| NPI | 1619132503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY22270) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 020483) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2018-03-17 |