| NPI | 1184908626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023151) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: FL 10417) | |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2019-03-22 |