| NPI | 1790552917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 024605) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 61111972) |
| 103T00000X Psychologist (Licence: CO 0006616) | |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2025-02-14 |