| NPI | 1821712373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 026139) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 68118184) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2024-04-02 |