| NPI | 1417626383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 7966) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 6675) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |