| NPI | 1689188542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022623) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY004133) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2023-01-10 |