| NPI | 1841342037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003394) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 016619-1) |
| 103TC0700X Psychologist, Clinical (Licence: MA 9321) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-05-06 |