| NPI | 1912337114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017982-1) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 017982-1) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2022-03-08 |