| NPI | 1699095737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6064) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 018331) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2025-10-16 |