| NPI | 1841964889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024652) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 32714) |
| 103TC0700X Psychologist, Clinical (Licence: MD 06807) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810007545) | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2023-12-05 |