| NPI | 1134413610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021207) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 3978) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2021-11-09 |