| NPI | 1821502188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5733) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 022491) |
| Enumeration Date | 2017-11-24 |
| Last Update Date | 2022-08-19 |