| NPI | 1306007927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05926) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 025792) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2024-05-16 |