| NPI | 1316474869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024699) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00719200) |
| 103TC0700X Psychologist, Clinical (Licence: MA PSY10000271) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2024-05-03 |