| NPI | 1790038206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003260) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019772) |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2022-03-14 |