| NPI | 1710253182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003162) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 003162) |
| 103TC0700X Psychologist, Clinical (Licence: NY 019350) | |
| 103TC0700X Psychologist, Clinical (Licence: CT 003264) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2024-08-20 |