| NPI | 1427315860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021805) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DE B1-0001039) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2017-05-12 |