| NPI | 1053600130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: NY 015429) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 015429) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2022-08-18 |