| NPI | 1154974715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023740) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: HI Psy-1949) |
| 103T00000X Psychologist (Licence: FL py8644) | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2022-02-28 |