| NPI | 1528894342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 024680-01) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CT 002967) |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |