| NPI | 1033414891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020987-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI 55064) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2018-07-18 |