| NPI | 1588013841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 3793) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021444) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2018-10-20 |