| NPI | 1396866679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 010570-1) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CT 003325) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-03-18 |