| NPI | 1700192911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018732) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY24862) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2016-07-15 |