| NPI | 1851769889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY PSY022729) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022729) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSB94021918) | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2018-09-14 |