| NPI | 1992738041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY11714) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015156) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-07-28 |