| NPI | 1548403272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0000X Psychologist Family (Licence: NY 015211-1) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 015211-1) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 015211-1) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: NY 015211-1) | |
| 103TH0004X Psychologist Health (Licence: NY 015211-1) | |
| 103TH0100X Psychologist Health Service (Licence: NY 015211-1) | |
| 103TR0400X Psychologist Rehabilitation (Licence: NY 015211-1) | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2020-09-09 |