| NPI | 1467166850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 026196) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY P118509) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2024-02-07 |