| NPI | 1295118941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025499-01) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP6091) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2023-07-17 |