| NPI | 1073734984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 156700) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA A42313) |
| 103TF0000X Psychologist, Family (Licence: CA A42313) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA A42313) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-04-14 |