| NPI | 1184262057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003896) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS02171) |
| 103TC0700X Psychologist, Clinical (Licence: NY 023584) | |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2023-07-13 |