| NPI | 1003397407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025002) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 25002) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-06-30 |