| NPI | 1083846125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018520) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY7874) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2022-08-16 |