| NPI | 1033348164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018874) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 018874) |
| 103TH0004X Psychologist, Health (Licence: NY 018874) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2022-01-27 |