| NPI | 1801254297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 3855) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00537700) |
| 103T00000X Psychologist (Licence: NY 021358-1) | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2019-10-24 |