| NPI | 1245621754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013336-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9868) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |