| NPI | 1811330483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022400) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005456) |
| 103TC0700X Psychologist, Clinical (Licence: NY 22400) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2023-06-29 |