| NPI | 1316016215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 0047441) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 0047441) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-16 |