| NPI | 1396065256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT CT002852) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY NY015051) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |