| NPI | 1245357433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016069-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS006485L) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 016069-1) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS006485L) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |