| NPI | 1427632298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 4763) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 026286-01) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2024-06-06 |