| NPI | 1942761663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 027277-01) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 5000399) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-11-14 |