| NPI | 1629361746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018926) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016822) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2018-06-08 |