| NPI | 1497307300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 026012) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NA) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2023-09-27 |