| NPI | 1881141109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021403-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 0150530) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2022-10-11 |