| NPI | 1588129571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 32041) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00543900) |
| 103T00000X Psychologist (Licence: NY 021975) | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2022-04-04 |