| NPI | 1790169407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 031938) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1001568) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2020-06-11 |