| NPI | 1982958260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 25246) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019871) |
| 103T00000X Psychologist (Licence: NC 4589) | |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2023-06-29 |