| NPI | 1497795181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 015693) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 15693) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-07-05 |