| NPI | 1124227269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026482-01) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS01997) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2024-06-29 |