| NPI | 1548664311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019618) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 019618) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |