| NPI | 1265104525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025412) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY P111735) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 025412) | |
| 103TC0700X Psychologist, Clinical (Licence: NY P111735) | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2022-12-06 |