| NPI | 1114167236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024955) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 26006) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 024955) | |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2024-06-24 |