| NPI | 1629481437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021509) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2017-04-24 |