| NPI | 1154472306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6790) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015732) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2023-10-30 |