| NPI | 1942796305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 30287) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022940) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2021-04-20 |