| NPI | 1497129100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 023587) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MA 10172) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 23587) | |
| 103TS0200X Psychologist, School (Licence: MA 438142) | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2023-07-03 |