| NPI | 1215589601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3337) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 013726-1) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2021-02-28 |