| NPI | 1851878714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 10548) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 026392) |
| 103TC0700X Psychologist, Clinical (Licence: WI 3465-57) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2025-03-06 |