| NPI | 1033760186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023935) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P102639) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2020-12-07 |