| NPI | 1467944470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA 018724) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 026023-01) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-08-20 |