| NPI | 1073782322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 017411) |
| Additional Taxonomies | 103TF0000X Psychologist Family (Licence: NY 017411) |
| 103TS0200X Psychologist School (Licence: NY 017411) | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |