| NPI | 1386894673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4756) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018983) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2023-03-03 |