| NPI | 1144336868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 004184) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TF0000X Psychologist, Family | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TS0200X Psychologist, School (Licence: NY 004184) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-16 |