| NPI | 1659691699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018591) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: NY 018591) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2022-01-03 |