| NPI | 1609230051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 10350) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022233) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2023-01-25 |