| NPI | 1639353220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TC0700X Psychologist Clinical (Licence: NY 012685) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |