| NPI | 1134982721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 025783-01) |
| Additional Taxonomies | 103TH0004X Psychologist Health |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |