| NPI | 1194478792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 024546) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 4166) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |