| NPI | 1548499015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022448) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 3361) |
| 163W00000X Registered Nurse (Licence: CT 219348) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2024-07-15 |