| NPI | 1740566520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019935-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY24581) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2016-11-09 |