| NPI | 1336266444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY 7887) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 16524) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2022-02-25 |