| NPI | 1225277890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017916) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 17916) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2020-09-27 |