| NPI | 1710262548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 004570) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 021036-1) |
| 103T00000X Psychologist (Licence: DC 200001239) | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2024-04-16 |