| NPI | 1134161722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY P44956) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017081) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2019-05-02 |