| NPI | 1033468145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 019654) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9595) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2016-09-12 |