| NPI | 1073281994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 103T00000X Psychologist | |
| 172V00000X Community Health Worker | |
| 103T00000X Psychologist | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2025-10-02 |