| NPI | 1760028377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 024755) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2022-09-20 |