| NPI | 1881143782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33316) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024566) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2022-08-01 |