| NPI | 1326328113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 020233-1) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 020233-1) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2019-11-14 |