| NPI | 1992434120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 024682) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 024682) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 024682) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 024682) | |
| 103TS0200X Psychologist, School (Licence: NY 024682) | |
| Enumeration Date | 2022-06-04 |
| Last Update Date | 2022-06-13 |