| NPI | 1841470226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ PSY-005289) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 0192761) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2022-07-19 |