| NPI | 1265679039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: NY 016173) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 016173) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2018-09-06 |