| NPI | 1194223966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 0224581) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 0224581) |
| 103TF0000X Psychologist, Family (Licence: NY 0224581) | |
| 103TH0100X Psychologist, Health Service (Licence: NY 0224581) | |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |