| NPI | 1750462578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 008098-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 008098) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-09-08 |