| NPI | 1437442258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 011376-1) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 011376-1) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2020-12-21 |