| NPI | 1356470462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY 002360) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 68 041075) |
| 103T00000X Psychologist (Licence: MA 8516) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-10-13 |