| NPI | 1609945211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: NY 004565) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 004565) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-04-23 |