| NPI | 1699964882 |
|---|---|
| Former Name | STACY PAIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38138) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 27532) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2024-02-22 |