| NPI | 1740236033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA ps015167) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 011762) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-04-20 |