| NPI | 1275671075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015783-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042115A) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-02-23 |