| NPI | 1679995716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26828) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021004) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2016-01-25 |