| NPI | 1932435781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 33515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 061155) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2022-12-28 |