| NPI | 1548745847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2018029946) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019275-1) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2021-11-04 |