| NPI | 1174300388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025901) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VT 048.0134924) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2026-01-12 |