| NPI | 1366603946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 027431) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810009043) |
| 103T00000X Psychologist (Licence: DC PSY200001751) | |
| 103T00000X Psychologist (Licence: MD 04851) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2025-10-04 |