| NPI | 1285906594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024141-01) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 05016) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2021-12-07 |