| NPI | 1992368195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019189) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2018015694) |
| 103T00000X Psychologist (Licence: NY 023306) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2021-01-09 |