| NPI | 1326235680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016586) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017335-1) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2009-01-26 |