| NPI | 1336652304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 3707) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 022418) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-02-20 |