| NPI | 1912665209 |
|---|---|
| Former Name | MADISON ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY11185) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA PSY10000223) |
| 103TC0700X Psychologist, Clinical (Licence: NY 028048) | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2026-04-29 |