| NPI | 1023291499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3085) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 017010) |
| 103TC0700X Psychologist, Clinical (Licence: NY 017010) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 017010) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 3085) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CT 3085) | |
| Enumeration Date | 2007-12-08 |
| Last Update Date | 2013-07-13 |