| NPI | 1679730881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 20927) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 1022) |
| 103TC0700X Psychologist, Clinical (Licence: NY 015889) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2019-11-18 |