| NPI | 1457684698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019496) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019496) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2012-09-18 |