| NPI | 1689953804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26497) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI 00503600) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS-016990) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2018-05-09 |