| NPI | 1275839821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019185-1) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1209914) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2019-05-28 |