| NPI | 1689622235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017644) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017208) |
| 103TC0700X Psychologist, Clinical (Licence: CT 002865) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2025-08-07 |