| NPI | 1811278575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022916) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2020-04-22 |