| NPI | 1265785604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9484) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019293) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2022-07-21 |