| NPI | 1265769558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 8758) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017635-1) |
| Enumeration Date | 2009-11-08 |
| Last Update Date | 2016-12-07 |