| NPI | 1518086354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 007671-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 007671-1) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-04-23 |