| NPI | 1114240959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 016407) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: NY 016407) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2012-04-20 |