| NPI | 1417463357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022031) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 22031) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2023-06-30 |