| NPI | 1194104893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021169) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY28758) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2017-01-20 |