| NPI | 1952721623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020719) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P90940) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2018-03-17 |