| NPI | 1396201737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 07045) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 023079) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2023-08-15 |