| NPI | 1992434922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: NY 2977368) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: CT 2901689766) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |