| NPI | 1083362156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY10000909) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 026406) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2024-08-23 |