| NPI | 1134665482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 9613) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021841) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |