| NPI | 1235520495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 68 019868) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019868) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2024-08-15 |