| NPI | 1164446480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 13781) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY31655) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-11-25 |