| NPI | 1225172497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 006535-1) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: NY 006535-1) |
| 103T00000X Psychologist (Licence: NY 006535-1) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |