| NPI | 1821039801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 0163621) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 0163621) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 0163621) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-01-17 |