| NPI | 1245494343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003466) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017557) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2016-01-25 |