| NPI | 1891056065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023022) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1147657171) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2018-11-29 |