| NPI | 1740697499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021967) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 05838) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2017-01-27 |