| NPI | 1093106643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022742) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY P09303) |
| 103T00000X Psychologist | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2023-10-12 |