| NPI | 1619162864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28423) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 025072) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810008534) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2025-01-30 |