| NPI | 1679182000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 023900) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2023-11-27 |