| NPI | 1295289577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY951) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 02826) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |