| NPI | 1558835538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NH 1434) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 023007-1) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |