| NPI | 1932817434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025350) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06888) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |