| NPI | 1982939195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04731) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 018728) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2016-09-13 |