| NPI | 1154782589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003836) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024936-01) |
| Enumeration Date | 2016-03-12 |
| Last Update Date | 2025-03-21 |