| NPI | 1215334438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 020714-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 20714) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2023-05-15 |