| NPI | 1245731447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: MA 7609-PY-PR) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 012590) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |