| NPI | 1952522021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06435) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 002723) |
| 103TC0700X Psychologist, Clinical (Licence: NY 014453) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-03-11 |