| NPI | 1235227612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 011469) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 011469) |
| 103TC0700X Psychologist, Clinical (Licence: NY 11469) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-07-12 |