| NPI | 1003051137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 8944) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017767) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |