| NPI | 1467773226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 020942) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 3663) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2022-11-30 |