| NPI | 1568902682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023279-01) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 23279) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2023-06-29 |