| NPI | 1437477213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020354) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9709) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2013-11-06 |