| NPI | 1467575035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 7531) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 013991-01) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2026-01-27 |