| NPI | 1184084915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9693) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021352) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2021-08-26 |