| NPI | 1013098847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 014378) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 5870) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2022-12-09 |