| NPI | 1811149164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL py4909) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 9252) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2022-02-17 |