| NPI | 1972870723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 019488-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019488-1) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2019-06-07 |