| NPI | 1053553784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 022110-1) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: HI PSY 1106) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2018-03-17 |