| NPI | 1770092579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022865) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: NY 022865) | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2023-11-01 |