| NPI | 1831581594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021715) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P95464) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2020-10-09 |