| NPI | 1699843482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019064) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 002730) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-04-30 |