| NPI | 1821169558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 05359) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 016822) |
| 103T00000X Psychologist (Licence: MD 05359) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2022-12-05 |