| NPI | 1225573280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 9431) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 021480) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2024-08-15 |