| NPI | 1194294736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023351) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10319) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2019-10-11 |