| NPI | 1568080125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NH 1490) |
| 103T00000X Psychologist (Licence: NY 026364) | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2025-01-02 |