| NPI | 1922348267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: NY 020278) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: AZ 4372) |
| Enumeration Date | 2013-02-24 |
| Last Update Date | 2013-09-30 |