| NPI | 1356012223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06890) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 026158-01) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2024-05-21 |