| NPI | 1245668789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018848) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00603500) |
| 103TC0700X Psychologist, Clinical (Licence: NY 022859-1) | |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2024-07-16 |