| NPI | 1043830607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 017918-1) |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports (Licence: NY 017918-1) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |