| NPI | 1528383601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021627) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY p92161) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2017-12-07 |