| NPI | 1295090850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022497) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 29247) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2022-12-13 |