| NPI | 1356902779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 202159) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2021-01-22 |