| NPI | 1396079232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019289-1) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TH0004X Psychologist, Health | |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2023-01-23 |