| NPI | 1285153247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1641) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 023023) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2024-08-30 |