| NPI | 1801115613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist Health (Licence: NY 018310) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 018310) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2014-08-06 |