| NPI | 1225687528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024213) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P100445) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2021-08-06 |