| NPI | 1881849107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018577-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY22332) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2021-01-08 |