| NPI | 1720605793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NV PY0959) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 022505) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2021-06-11 |