| NPI | 1467683698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026527) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 27952) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2024-12-06 |