| NPI | 1457925026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019844) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024508) |
| 103T00000X Psychologist | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2023-03-06 |