| NPI | 1437501087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003794) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 022866) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2018-11-09 |