| NPI | 1861664088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25678) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00448400) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2024-09-16 |