| NPI | 1437151925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013916) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY9296) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2020-12-30 |