| NPI | 1790313328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023301) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2022-08-03 |