| NPI | 1134680416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025473) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810008115) |
| 103T00000X Psychologist (Licence: FL TPPY2282) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-06-13 |