| NPI | 1588648919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 009143-1) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 0985434392) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2025-10-28 |