| NPI | 1053853408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020948-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 3465) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2023-09-08 |