| NPI | 1376271312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MD 05697) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: DE B1-0000953) |
| 103TC0700X Psychologist Clinical (Licence: NY 019966) | |
| 103TC1900X Psychologist Counseling (Licence: MD 05697) | |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |