| NPI | 1487944799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4123) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 014312) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2020-04-08 |