| NPI | 1154911956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06656) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 025772) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2025-01-27 |