| NPI | 1952675910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810004739) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019226-1) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2025-06-02 |