| NPI | 1740873470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019985) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022726) |
| Enumeration Date | 2021-02-13 |
| Last Update Date | 2024-06-12 |