| NPI | 1427231653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY-3312) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 016723) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2014-12-16 |