| NPI | 1396947115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: MA 8895) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: NY 018646) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 018646) | |
| 103TC0700X Psychologist, Clinical (Licence: MA 8895) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 018646) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-28 |