| NPI | 1619496478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022357) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0006778) |
| 103T00000X Psychologist (Licence: FL PY12803) | |
| 103T00000X Psychologist (Licence: TX 40826) | |
| 103T00000X Psychologist (Licence: IL 071.022484) | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2026-07-28 |