| NPI | 1902280225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 6880) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 027438) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2025-08-15 |