| NPI | 1427828094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 13523603-2501) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 027019) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2025-01-15 |