| NPI | 1124292396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 017409) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017409) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 017409) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |