| NPI | 1144650490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025107) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301015173) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301018273) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 295925) | |
| Enumeration Date | 2013-11-23 |
| Last Update Date | 2023-07-22 |