| NPI | 1326497496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 014199-1) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 014199-1) |
| 103T00000X Psychologist (Licence: NY 014199-1) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 014199-1) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 014199-1) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: NY 014199-1) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |