| NPI | 1265690457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017287) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 17287) |
| Enumeration Date | 2008-05-25 |
| Last Update Date | 2023-07-05 |