| NPI | 1427125061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016633) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 37425) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-02-01 |