| NPI | 1295805604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 06603) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 06603) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2014-11-05 |