| NPI | 1275214611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD A0809) |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| 103TC1900X Psychologist, Counseling | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |