| NPI | 1104488196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022427-01) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022427) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2024-08-07 |