| NPI | 1437446176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021223) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ID 203487) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2023-06-27 |