| NPI | 1417253485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 014634) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 014634-1) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2020-02-25 |