| NPI | 1770864225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29384) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019255) |
| 103TC0700X Psychologist, Clinical (Licence: NM psy1668) | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2022-03-28 |