| NPI | 1932459518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4653) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019768-1) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2014-08-25 |