| NPI | 1225521313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA 004434) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 024378) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-04-30 |