| NPI | 1659954949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 4002) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 023840) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |