| NPI | 1952092710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025366) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0006108) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |