| NPI | 1306081096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 017846) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 017846) |
| 103TC0700X Psychologist, Clinical (Licence: NY 017846) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |