| NPI | 1144592312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 016560) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 016560) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 016560) | |
| 103TH0004X Psychologist Health (Licence: NY 016560) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NY 016560) | |
| 103TR0400X Psychologist Rehabilitation (Licence: NY 016560) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |