| NPI | 1871844084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26694) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019757) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2016-09-28 |