| NPI | 1750881553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025346) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OH P.07711) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 025346) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2022-11-09 |