| NPI | 1184892986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015934) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY6540) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |