| NPI | 1407900517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013250) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 013250) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-09-02 |