| NPI | 1316183775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 3297) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017372) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-08-18 |