| NPI | 1629627633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024147) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY11461) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2024-07-31 |