| NPI | 1366792103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023564) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: NY 023564) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2020-11-22 |