| NPI | 1215752944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 026464) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301019455) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |