| NPI | 1275944373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021577-01) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2023-05-05 |