| NPI | 1487813804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 2018) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017636-1) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2016-11-09 |