| NPI | 1710083415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 014577) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 014577) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |