| NPI | 1245467174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020367) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 20367) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2023-07-06 |