| NPI | 1477036663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 4292) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: NY 022921) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2024-08-10 |