| NPI | 1700297561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022899-1) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: CA PSY31018) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2020-05-29 |