| NPI | 1689017634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019958) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019958) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2015-06-10 |