| NPI | 1578082897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022367) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 022367) |
| 103TH0004X Psychologist, Health (Licence: NY 022367) | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2023-07-19 |