| NPI | 1417372103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020430) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 020430) |
| 103TH0004X Psychologist, Health (Licence: NY 020430) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: NY 020430) | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2015-07-13 |