| NPI | 1649319807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 19047) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 13037) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-12-21 |