| NPI | 1457584302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022678) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 29203) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2026-07-23 |