| NPI | 1326387663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020954) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004822) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2019-08-28 |