| NPI | 1194907295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 014207) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 014207) |
| 103TS0200X Psychologist, School (Licence: NY 911495991) | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2024-11-13 |