| NPI | 1558929463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024871) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS02008) |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY200001252) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2022-04-18 |