| NPI | 1518556182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 024420) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS019477) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00671200) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 024420) | |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005847) | |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2024-08-22 |