| NPI | 1437534245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10732) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021254) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2021-07-26 |