| NPI | 1679958318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022433) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P99778) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2022-12-06 |