| NPI | 1164681839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 002997) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017563-1) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2021-12-08 |