| NPI | 1275921991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 231000) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 231000) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2021-07-07 |