| NPI | 1912792888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY 439928) |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-04-11 |