| NPI | 1922033398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8791) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8791) |
| 103TC0700X Psychologist, Clinical (Licence: NY 007681) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-06-24 |