| NPI | 1831443118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 019682-1) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 602566) |
| 103T00000X Psychologist (Licence: FL PY11022) | |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2026-04-20 |