| NPI | 1710363940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY004282) |
| 103T00000X Psychologist (Licence: NY 021335) | |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2024-09-12 |