| NPI | 1740899467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019277) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: NY 019277) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2023-09-06 |