| NPI | 1801323571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 4786) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00628800) |
| 103TC0700X Psychologist, Clinical (Licence: KY 130323) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 023400) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.010877) | |
| 103TC0700X Psychologist, Clinical (Licence: OH 6379) | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2024-12-03 |