| NPI | 1184652844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017214) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 015512) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2021-06-02 |