| NPI | 1912621327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026140) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P116231) |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2024-01-02 |