| NPI | 1902381916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 027272) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004895) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2025-05-27 |