| NPI | 1568941045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 02411901) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2021-04-01 |