| NPI | 1184378416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026436) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS019410) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 026436) | |
| 103TC0700X Psychologist, Clinical (Licence: PA PS019410) | |
| Enumeration Date | 2022-02-06 |
| Last Update Date | 2024-08-05 |