| NPI | 1407393382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 02413601) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 24136) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 02413601) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 02413601) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2023-06-29 |