| NPI | 1831334937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24883) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017886) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2013-02-04 |