| NPI | 1235459868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 68 018289) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 68 018289) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 68 018289) | |
| 103TC0700X Psychologist Clinical (Licence: NY 68 018289) | |
| 103TF0000X Psychologist Family (Licence: NY 68 018289) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NY 68 018289) | |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2010-06-05 |