| NPI | 1073055406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022163-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS018072) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2019-06-07 |