| NPI | 1073131124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 024769) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 024769) |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 024769) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-05-24 |