| NPI | 1588016885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 4289) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 025211) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2024-03-12 |