| NPI | 1053770982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 002597) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 014819) |
| 103TF0000X Psychologist, Family (Licence: CT 002597) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CT 002597) | |
| 103TS0200X Psychologist, School (Licence: CT 002597) | |
| Enumeration Date | 2016-02-20 |
| Last Update Date | 2016-02-20 |