| NPI | 1629544168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023363-01) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS018662) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2025-01-14 |