| NPI | 1376606079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 016061) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 016061) |
| 103TF0200X Psychologist, Forensic (Licence: NY 016061) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |