| NPI | 1538399126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021311-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 635066) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2015-11-18 |