| NPI | 1598162463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020890-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 002261) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |