| NPI | 1013073147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 001716) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 009609-1) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2007-07-08 |