| NPI | 1023287687 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 4573)  | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY7679)  | 
| 103T00000X Psychologist (Licence: NY 012271)  | |
| 171100000X Acupuncturist (Licence: CT 657)  | |
| Enumeration Date | 2008-02-27 | 
| Last Update Date | 2024-07-16 |