| NPI | 1801344155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003766) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 021908) |
| 103TS0200X Psychologist, School (Licence: NY 1033139161) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2020-04-28 |