| NPI | 1821752189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023485) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 4033) |
| 103T00000X Psychologist (Licence: CA 32799) | |
| 103T00000X Psychologist (Licence: NJ 35si00636400) | |
| Enumeration Date | 2021-10-23 |
| Last Update Date | 2021-10-25 |