| NPI | 1922246941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018481) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY22378) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2023-06-06 |